| NPI | 1700441540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027567) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-27 |